Olivia Thuy Nguyen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

3400 N Dysart Rd Ste G127
Avondale, AZ 85392-1011

Phone

(623) 322-0323

Fax

(623) 322-0757

NPI assigned

Oct 15, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Gastroenterology LLCGroup PAC ID 4183996895, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.16 of 100Reported as group

Quality

88

Promoting interoperability

100

Improvement activities

40

Cost

52.53

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olivia.nguyen.1@16515.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Gastroenterology LLC

  • Gastroenterology Physician
  • Avondale, AZ
  • NPI 1356871123
  Medicare reassignment Care Compare group
• Phoenix Children's Hospital

  dba Phoenix Children's Medical Group

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1922112044
  Medicare reassignment NPD
• Active Life Physical Medicine and Pain Center, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Surprise, AZ
  • NPI 1811130016
  Medicare reassignment
• Phoenix Children's Medical Group

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1487814240
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1801362108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD STE G127",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921011",
            "telephone_number": "623-322-0323",
            "fax_number": "623-322-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD STE G127",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921011",
            "telephone_number": "623-322-0323",
            "fax_number": "623-322-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "OLIVIA",
        "middle_name": "THUY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khanh Ngo, OD
• Ethan D Nguyen, NP-C
• Lam Thanh Nguyen
• Lily Nguyen, PHARMD
• Nam-Rene Nguyen, DDS
• Son T Nguyen, DDS
• Berinyuy Rita Ngwang
• Hannah Nichols
• Kathleen A Nichols, MD
• Mary Nichols, PT, DPT

• Medical Physician Assistant in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.